Carpal growth and function after pediatric transcarpal hand replant: case report.
This case discusses the technique, postoperative course, and functional outcomes 5 years after an amputation between the cartilaginous anlages of the growing carpus in a 7-year-old boy. The lunate remained attached to the arm, whereas the scaphoid and the remainder of the carpus were contained within the amputated part. After 5 years, the patient had 94% growth compared to the other side, a Minnesota dexterity test in the 75th percentile, 0/10 pain, near-normal sensation, grip strength 17% of the other side, and lateral pinch 79% of the other side.
Merrell
Greg
G
Indiana Hand Center, Indianapolis, IN 46260, USA. gregmerrell@gmail.com.
Heard
Wendell
W
Park
Min Jung
MJ
Ramos
Paul
P
Dasilva
Manuel F
MF
D000673:Amputation, Traumatic / Q000601:surgery*; D001846:Bone Development / Q000502:physiology; D001858:Bone Nails; D002348:Carpal Bones / Q000254:growth & development*; D002648:Child; D016267:External Fixators; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D010149:Postoperative Pain / Q000503:physiopathology; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012092:Replantation / Q000295:instrumentation / Q000379:methods*; D018570:Risk Assessment; D013997:Time Factors